| NPI | 1912873621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK WEISS Operations Administrator 510-200-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-10-11 |
| Last Update Date | 2025-10-11 |